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青霉胺与系统性红斑狼疮综合征

Penicillamine and the SLE syndrome.

作者信息

Walshe J M

出版信息

J Rheumatol Suppl. 1981 Jan-Feb;7:155-60.

PMID:6939878
Abstract

Penicillamine-induced systemic lupus erythematosus (SLE) and penicillamine-immune complex nephritis are histologically and serologically distinct. One hundred and twenty patients with Wilson's disease treated with penicillamine have been analyzed. Eight developed the serologic changes of SLE; in 4, it was necessary to discontinue treatment. In addition, 6 patients developed immune complex nephritis, which necessitated discontinuing treatment. All but 1 have since been managed on triethylene tetramine 2HCl (Trien).

摘要

青霉胺诱发的系统性红斑狼疮(SLE)和青霉胺免疫复合物肾炎在组织学和血清学上是不同的。对120例接受青霉胺治疗的威尔逊病患者进行了分析。8例出现了SLE的血清学改变;其中4例需要停止治疗。此外,6例患者发生了免疫复合物肾炎,这也需要停止治疗。除1例患者外,其余所有患者此后均采用二盐酸三亚乙基四胺(Trien)进行治疗。

相似文献

1
Penicillamine and the SLE syndrome.青霉胺与系统性红斑狼疮综合征
J Rheumatol Suppl. 1981 Jan-Feb;7:155-60.
2
Wilson's disease treated with penicillamine and lupus erythematosus: related or distinct entities?用青霉胺治疗的威尔逊病与红斑狼疮:相关还是不同的病症?
Minerva Pediatr. 2012 Feb;64(1):55-7.
3
Copper chelation in patients with Wilson's disease. A comparison of penicillamine and triethylene tetramine dihydrochloride.肝豆状核变性患者的铜螯合作用。青霉胺与二盐酸三乙烯四胺的比较。
Q J Med. 1973 Jul;42(167):441-52.
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[Systemic lupus erythematosus induced by d-penicillamine in Wilson's disease: apropos of a case].[肝豆状核变性中D-青霉胺诱发的系统性红斑狼疮:附1例报告]
Med Clin (Barc). 1987 Apr 4;88(13):552-4.
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[Lupus erythematosus due to penicillamine associated with Wilson's disease].[青霉胺所致红斑狼疮伴威尔逊病]
Ann Med Interne (Paris). 1971 Feb;122(2):269-73.
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Hypothyroidism and dyshormonogenesis induced by D-penicillamine in children with Wilson's disease and healthy infants born to a mother with Wilson's disease.青霉胺诱发威尔逊病患儿及威尔逊病母亲所生健康婴儿的甲状腺功能减退和激素合成障碍。
J Pediatr. 2008 Dec;153(6):864-6. doi: 10.1016/j.jpeds.2008.06.015.
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Treatment of Wilson's disease with triethylene tetramine dihydrochloride. A case report.用二盐酸三乙烯四胺治疗威尔逊氏病。病例报告。
Dev Pharmacol Ther. 1980;1(5):318-24.
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[A syndrome similar to systemic lupus erythematosus caused by penicillamine in patients with Wilson's disease].[肝豆状核变性患者中由青霉胺引起的类似系统性红斑狼疮的综合征]
Bratisl Lek Listy. 1985 Sep;84(3):336-40.
9
Early onset of nephrotic syndrome after treatment with D-penicillamine in a patient with Wilson's disease.一名威尔逊病患者使用青霉胺治疗后肾病综合征的早期发作。
Am J Gastroenterol. 1998 Dec;93(12):2544-6. doi: 10.1111/j.1572-0241.1998.00715.x.
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Long-term treatment of Wilson's disease with triethylene tetramine dihydrochloride (trientine).用二盐酸三乙烯四胺(曲恩汀)对威尔逊氏病进行长期治疗。
QJM. 1995 Sep;88(9):609-16.

引用本文的文献

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Clin Case Rep. 2025 Mar 27;13(4):e70368. doi: 10.1002/ccr3.70368. eCollection 2025 Apr.
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Wilson's Disease-Crossroads of Genetics, Inflammation and Immunity/Autoimmunity: Clinical and Molecular Issues.威尔逊氏病——遗传学、炎症和免疫/自身免疫的交汇点:临床和分子问题。
Int J Mol Sci. 2024 Aug 20;25(16):9034. doi: 10.3390/ijms25169034.
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Co-occurrence of Wilson's disease and systemic lupus erythematosus: a case report and literature review.
Wilson 病与系统性红斑狼疮共存:病例报告及文献复习。
BMC Gastroenterol. 2021 May 21;21(1):229. doi: 10.1186/s12876-021-01814-5.
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Wilson's disease combined with systemic lupus erythematosus: a case report and literature review.威尔逊病合并系统性红斑狼疮:一例报告及文献综述
BMC Neurol. 2018 Jun 15;18(1):85. doi: 10.1186/s12883-018-1085-5.
5
Penicillamine neurotoxicity: an hypothesis.青霉胺神经毒性:一种假说。
ISRN Neurol. 2011;2011:464572. doi: 10.5402/2011/464572. Epub 2011 Jul 21.
6
ANCA-associated Goodpasture's syndrome in a patient with rheumatoid arthritis on penicillamine.患有类风湿关节炎且正在服用青霉胺的患者出现抗中性粒细胞胞浆抗体相关性肺出血肾炎综合征。
Indian J Nephrol. 2012 Jan;22(1):45-7. doi: 10.4103/0971-4065.83743.
7
Drug-induced lupus erythematosus: incidence, management and prevention.药物诱导性红斑狼疮:发病机制、处理与预防。
Drug Saf. 2011 May 1;34(5):357-74. doi: 10.2165/11588500-000000000-00000.
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Sulphasalazine-induced systemic lupus erythematous in a patient with ankylosing spondylitis.柳氮磺胺吡啶诱发强直性脊柱炎患者发生系统性红斑狼疮。
Clin Rheumatol. 2002 Aug;21(4):339-40. doi: 10.1007/s100670200089.
9
Antibodies to cellular antigens in Greek patients with autoimmune rheumatic diseases: anti-Ro(SSA) antibody a possible marker of penicillamine-D intolerance.希腊自身免疫性风湿疾病患者体内细胞抗原抗体:抗Ro(SSA)抗体可能是青霉胺不耐受的一个标志物。
Ann Rheum Dis. 1984 Apr;43(2):285-7. doi: 10.1136/ard.43.2.285.
10
Hudson memorial lecture: Wilson's disease: genetics and biochemistry--their relevance to therapy.哈德逊纪念讲座:威尔逊氏病:遗传学与生物化学——及其与治疗的相关性
J Inherit Metab Dis. 1983;6 Suppl 1:51-8. doi: 10.1007/BF01811324.